1. A. A nurse practitioner may personally prepare and dispense any drug that a nurse practitioner is authorized to prescribe in the course of treating a patient at:

   1. (1) A medical facility or clinic that specializes in the treatment of medical cases reimbursable through workers' compensation insurance;
   2. (2) A medical facility or clinic that is operated on a nonprofit basis;
   3. (3) A health center that operates on a campus of an institution of higher education;
   4. (4) A public health facility, a medical facility under contract with a State or local health department, or a facility funded with public funds; or
   5. (5) A nonprofit hospital or a nonprofit hospital out-patient facility as authorized under the policies established by the hospital.

2. B. A nurse practitioner who personally prepares and dispenses a drug in the course of treating a patient shall:

   1. (1) Comply with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;
   2. (2) Record the dispensing of the prescription drug on the patient's chart;
   3. (3) Allow the Division of Drug Control to enter and inspect the nurse practitioner's office at all reasonable hours;
   4. (4) Except for starter dosages or samples dispensed without charge, provide the patient with a written prescription; and
   5. (5) Stamp all Schedule III, IV, and V prescriptions with the letter “C” in red ink, not less than 1 inch high in the lower right hand corner.

3. C. A nurse practitioner shall:

   1. (1) Maintain two separate files, one for Schedule II prescriptions and another file for all other prescriptions; and
   2. (2) Maintain all prescription files for 7 years.

4. D. A nurse practitioner may personally prepare and dispense a starter dosage of any drug the nurse practitioner is authorized to prescribe. The nurse practitioner shall:

   1. (1) Label the starter dosage in compliance with the labeling requirements of Health Occupations Article, §12-505, Annotated Code of Maryland;
   2. (2) Provide the starter dose free of charge; and
   3. (3) Enter the starter dose dispensed in the patient's medical record.

Authority: Family Law Article, §2-301; Health-General Article, §§4-208(a), 4-212, §4-403, 5-601(c)—(e), 5-608(c), 10-616, 10-628, 13-701, and 13-704; Health Occupations Article, §§8-205(a)(1), (2), (4), and (5), and 8-302; Transportation Article, §§13-616(a) and (b), Annotated Code of Maryland; Ch. 342, Acts of 2015; Ch. 468, Acts of 2015

Effective date: March 6, 1981 (8:5 Md. R. 473)

Regulation .01B amended effective August 29, 1994 (21:17 Md. R. 1439)

Regulation .02 amended effective June 7, 1993 (20:11 Md. R. 913)

Regulation .03A amended effective June 7, 1993 (20:11 Md. R. 913)

Regulation .04 amended effective June 7, 1993 (20:11 Md. R. 913)

Regulation .05 repealed and new Regulation .05 adopted effective June 7, 1993 (20:11 Md. R. 913)

Regulation .08 adopted effective August 29, 1994 (21:17 Md. R. 1439)

Chapter revised effective July 11, 2011 (38:14 Md. R. 790)

Chapter revised effective December 10, 2015 (42:24 Md. R. 1505)

Regulation .02A amended effective August 28, 2017 (44:17 Md. R. 835)

Chapter revised effective July 2, 2018 (45:13 Md. R. 667)

Regulation .03G adopted effective October 13, 2025 (52:20 Md. R. 1002)

Regulation .07C amended effective October 13, 2025 (52:20 Md. R. 1002)